Bristol Hospital: Celebrating Quality Care

Bristol Hospital: Celebrating Quality Care BRISTOL HOSPITAL AND HEALTH CARE GROUP, INC. 2013 Annual Report Bristol Hospital: Celebrating Quality Care/1

2013 Annual Report BRISTOL HOSPITAL AND HEALTH CARE GROUP, INC. Message From Our Leadership CONTENTS Message From Our Leadership...3 Board of Directors...4-5 Center for Orthopedic and Spine Health...6-7 Beekley Center for Breast Health & Wellness...8-9 Quality & Patient Safety...10-11 Financial Statements...12-13 Grateful Patient Comments...14-25 Executive Leadership Group...26-27 Committees...28 2013 Highlights...29-35 Our Mission Bristol Hospital and Health Care Group is committed to enhancing the health and well-being of our community. We will provide safe, quality care and services to our patients through our continuum of services and health promotion. We will collaborate with health professionals and other organizations as advocates for our community. We will provide the opportunity for growth to our medical staff and employees in an environment where each individual is respected and valued. Our Vision Celebrating Quality Care is a most fitting way to honor and salute our employees, medical staff and volunteers. These groups and individuals passionately provide the best quality care and services to our patients and families in support of Bristol Hospital and Health Care Group s vital mission. Earlier in the year, Bristol Hospital was named the third safest hospital in Connecticut by Consumer Reports magazine. Patients and families continue to praise the efforts of our staff with consistent patient satisfaction scores for the Emergency Center, inpatient care units and ambulatory surgery. Bristol Hospital s array of services was expanded with the addition of many new physicians and surgeons in the areas of geriatric and pulmonary/critical care medicine as well as bariatric, breast, general and orthopedic surgery. Bristol Hospital also launched the Center for Orthopedic and Spine Health and opened the new Beekley Center for Breast Health and Wellness. Meanwhile, our network affiliation with Yale New Haven Health System continues to evolve and grow stronger. With our integration into the Yale supply chain we were able to save hundreds of thousands of dollars, which further enhanced our high-quality, low cost high value position. We also have implemented a transfer process with Yale that has been used successfully throughout the past year. This has benefited our community by seamlessly coordinating tertiary care services when they are needed. This was a strong fiscal year as we ended 2013 with a positive bottom line and significant market share growth in several key service line areas. And none of this success is possible without the hard work and dedication of our employees, medical staff and volunteers. Thank you for being Everyday Extraordinary. Corporators...36-37 Medical Staff...38-39 Development Foundation Board of Directors...40-41 Leadership...42 Bristol Hospital and Health Care Group aspires to be recognized as the best community health care provider in Connecticut. Working with our patients, physicians, employees, volunteers and community, Bristol Hospital and Health Care Group will utilize our core values to achieve the vision which: Our efforts in providing safe and effective care were given high marks by the Joint Commission as part of the regular reaccreditation survey. During their visit, the Joint Commission surveyors commented that our organization has an outstanding culture and that we should be especially proud of our focus on quality and high reliability.. 2/Annual Report 2013 Creates a culture of safety, quality and service that is embraced as an individual and team responsibility Ensures a user-friendly continuum modeled on providing patient-centered care and services Continually assesses and promotes new services and technology Serves as the responsible steward and advocate for the health of our community Bristol Hospital received national recognition when Health Information Management Systems Society Analytics announced that we became the first hospital in the State of Connecticut and the first in the country utilizing the Meditech 6.x platform to be certified as a Stage 7 level organization on the EMR Adoption Model SM. This recognition shows how a community hospital can advance patient safety and care efficiency with a fully paperless deployment of an acute care electronic health record. We also continue to move forward in the pending acquisition of Bristol Hospital by Tenet Healthcare Corp., which purchased Vanguard Health Systems last summer. The required Certificate of Need by the State of Connecticut is expected to be filed in 2014. Kenneth Rhee, MD President of the Medical Staff Marie O Brien Chairman, Board of Directors Kurt A. Barwis, FACHE President & Chief Executive Officer Chief Bristol Hospital: Celebrating Quality Care/3

Board of Directors From left to right: Thomas Monahan, Bala Shanmugam, MD; Fawad Kazi, MD; Glenn Heiser, Mark Blum, secretary/treasurer; John Lodovico, Jr., Ellen Solek, EdD; Kenneth Rhee, MD, president, medical staff; John J. Leone, Jr., vice chairman; Marie O Brien, chairman; and Kurt A. Barwis, FACHE, president and CEO Missing: Kenneth Benoit, MD; Mary Ann Cordeau, PhD; Douglas Devnew, Karen Guadagnini, MD; and Valerie Vitale, MD 4/Annual Report 2013 Bristol Hospital: Celebrating Quality Care/5

From left to right: Lisa Mitchell, MA, RT; Dennis Perrone, Donna Fogelson, RN; Mathew Sobolewski, PA-C; Joni Salafia, Jessica Chardland, MA, RT; and David Rubins, MD, FAAOS In August 2013, Bristol Hospital and Health Care Group launched its new Center for Orthopedic and Spine Health. The program includes a skilled team focused in joint health, spine and pain relief, physiatry and rehabilitation, and sports medicine. One of the newest additions to the Center for Orthopedic and Spine Health is orthopedic surgeon David Rubins, MD, FAAOS. Dr. Rubins has more than 20 years of joint replacement experience and specializes in minimally invasive hip and knee replacement, MRI-assisted knee surgery and revision total joint replacement. One of Dr. Rubins areas of special interest is the direct anterior (DA) approach for total hip surgical repair. The DA approach is a minimally invasive technique not widely used and involves a smaller incision, no detaching of muscles or tendons, improved component positioning, equal leg lengths, decreased dislocation rates and decreased patient hospital stays. 6/Annual Report 2013 Bristol Hospital: Celebrating Quality Care/7

Bristol Hospital s Beekley Center for Breast Health & Wellness officially opened with a ribbon cutting event on Oct. 24. The new, 6,100-square-foot center offers patients comprehensive breast care and wellness in a spa-like setting. The breast health center includes a water wall, fireplace and intimate design aimed at making patients feel at ease. Each patient will have a nurse navigator who will assist with appointments and other details of her treatment. The Beekley Center for Breast Health & Wellness is made possible by a generous $1 million donation from the Beekley Family Foundation and Beekley Corporation. A team of stakeholders consisting of breast cancer survivors, volunteers, and Bristol Hospital and Beekley Corporation employees visited other breast centers in the region, and had significant input into the design and layout of the center. From left to right: Ayn S. LaPlant, president and CEO, Beekley Corporation; Eva Wickwire, assistant vice president and chief development officer, Bristol Hospital Development Foundation; and Sai Varanasi, MD, FACS, breast surgeon with the Bristol Hospital Multi-Specialty Group, Inc. The Beekley Corporation has been a long-time supporter of Bristol Hospital s Community Breast Health Project which provides financial assistance to women in need of a mammogram. 8/Annual Report 2013 Bristol Hospital: Celebrating Quality Care/9

Quality & Patient Safety BRISTOL CONNECTICUT NATIONAL Source: hospitalcompare.hhs.gov Time Period: April, 2012 - March, 2013 BRISTOL CONNECTICUT NATIONAL Heart Failure Process of Care Measures Heart Attack Process of Care Measures Bristol Hospital and Health Care Group s primary mission is to provide our patients with the safest and highest quality care. We continue to undertake a number of initiatives designed to enhance the safety and quality of care we provide. 100 95 Inpatient Overall Mean Score Oct 2012- Aug. 2013 Given discharge instructions 93% 91% 94% Left ventricular systolic (LVS) function 100% 100% 99% Given ACE inhibitor or ARB for LVSD 83% 95% 97% Outpatients with chest pain or possible heart 97% 98% 96% attack receiving aspirin within 24 hours of arrival Aspirin at discharge 97% 99% 99% Given a prescription for a statin at discharge 100% 98% 98% 90 85 85.1 85.9 85.2 86.7 85.1 84.7 85.5 86.3 83.8 84.5 87.7 BRISTOL CONNECTICUT NATIONAL BRISTOL CONNECTICUT NATIONAL 100 95 90 85 94.7 93.4 93 Ambulatory Surgery Overall Mean Score Oct. 2012- Sep. 2013 90.6 93.8 94.4 95.7 93.9 92 94 93.8 96.5 80 75 Oct 12 Nov 12 Dec 12 Jan 13 Feb 13 Mar 13 Apr 13 May 13 Jun 13 Jul 13 Aug 13 Sep 13 81.4 Emergency Center Satisfaction Overall Mean Score with Goal Oct. 2012 - Sep. 2013 Pneumonia Process of Care Measures Pneumonia patients whose initial emergency 95% 97% 98% room blood culture was performed prior to the administration of the first hospital dose of antibiotics Given the most appropriate 94% 96% 95% initial antibiotic(s) Surgical Care Improvement Project Antibiotic at the Right Time - Within One Hour 98% 98% 99% Patients receiving treatment (within 24 hours before or 98% 98% 98% after surgery) to help prevent blood clots after certain types of surgery Preventive Antibiotics were 96% 98% 98% Stopped (Within 24 Hours After Surgery) 80 100 Statements of Excellence - Bristol Hospital Quality, Safety and Performance Improvement Successes 75 Oct 12 Nov 12 Dec 12 Jan 13 Feb 13 Mar 13 Apr 13 May 13 Jun 13 Jul 13 Aug 13 Sep 13 95 Average number of minutes before outpatients with chest pain or possible heart attack who needed specialized care were transferred 60 min. to another hospital Conn. Avg 60 min. 90 85 86.1 85.9 89.8 87.9 87.2 84.1 88.1 87.9 88.6 Average time patients spent in the emergency department, before they were admitted to the hospital as an inpatient 267 min. Conn. Avg 341min. Average time patients spent in the emergency department before they were seen by a health care professional 24 min. Conn. Avg 29 min. Ischemic stroke patients who received medicine known to prevent complications caused by blood clots within 2 days of arriving at the hospital 100% 80 75 82.3 81.7 78.6 Oct 12 Nov 12 Dec 12 Jan 13 Feb 13 Mar 13 Apr 13 May 13 Jun 13 Jul 13 Aug 13 Sep 13 Ischemic or hemorrhagic stroke patients who received treatment to keep blood clots from forming anywhere in the body within 2 days of 100% arriving at the hospital Ischemic stroke patients who received a prescription for medicine known to prevent complications caused by blood clots before discharge 100% Patients who received treatment to prevent blood clots on the day of or day after hospital admission or surgery 95% Outpatient CT scans of the abdomen that were combination (double) scans 1.9% 10/Annual Report 2013 Bristol Hospital: Celebrating Quality Care/11

Financial Statements BRISTOL HOSPITAL, INC. 2013 2012 2011 2010 Medical/Surgical Admissions 5,319 5,251 5,133 5,175 Births 569 604 623 634 Medical/Surgical Inpatient Days 22,491 21,653 20,620 22,754 Outpatient Visits 203,043 204,370 192,283 175,884 Surgical and Endoscopy Procedures 6,700 6,822 7,101 7,696 Emergency Room Visits 38,530 38,557 42,239 38,760 BRISTOL HOSPITAL, INC. 2013 2012 2011 2010 Operating Revenues: Net Patient Service Revenues $131,717,516 $130,360,493 $125,941,019 $128,018,896 Other Operating Revenues 4,242,269 5,173,982 6,100,777 4,183,082 135,959,785 135,534,475 132,041,796 132,201,978 Operating Expenses: Salaries, wages and fees 59,480,579 59,084,074 56,506,869 57,886,913 Supplies and other expenses 62,437,776 60,969,190 57,992,637 55,226,546 Bad debt expense, net 4,909,425 6,470,291 9,847,024 10,944,348 Depreciation and amortization 6,363,743 6,320,576 5,714,642 5,241,260 Interest 1,421,575 1,641,972 1,833,355 1,688,566 Total expenses 134,613,099 134,486,303 131,894,527 130,987,633 Gain from operations $1,346,686 $1,048,172 $147,269 $1,214,345 Non-operating income $844,070 $1,253,154 $2,043,067 $571,472 Excess of revenues over (under) expenses $2,190,756 $2,301,326 $2,190,536 $1,785,187 BRISTOL HOSPITAL MULTI-SPECIALTY GROUP, INC. 2013 2012 2011 2010 Physician Office Visits 91,096 84,896 80,896 87,022 INGRAHAM MANOR 2013 2012 2011 2010 Admissions 340 293 353 358 Patient Days 43,585 45,152 44,835 44,143 Average Daily Census 120 123 121 121 BRISTOL HOSPITAL AND HEALTH CARE GROUP, INC. COMBINED STATEMENT OF OPERATIONS Operating Revenues: 2013 2012 2011 2010 Net Patient Service Revenues Other Operating Revenues Operating Expenses: $161,651,530 6,651,756 168,303,286 $160,223,250 7,071,296 167,295,546 $155,158,705 8,394,129 163,552,834 $154,929,658 6,532,739 161,462,397 Salaries, wages and fees Supplies and other expenses Bad debt expense, net Depreciation and amortization Interest 78,220,957 74,662,601 6,182,431 7,216,365 1,683,795 77,072,068 73,759,728 7,606,229 7,011,232 1,943,647 77,293,660 67,134,182 11,141,062 6,287,283 2,148,712 76,429,436 64,046,049 12,199,961 5,850,296 2,012,629 Total expenses 167,965,649 167,392,904 164,004,899 160,538,371 Gain/(Loss) from operations $337,637 $(98,358) $(452,065) $924,026 Non-operating income $857,803 $1,298,723 $2,170,216 $646,372 Excess of revenues over (under) expenses $1,195,440 $1,200,365 $1,718,157 $1,570,398 12/Annual Report 2013 Bristol Hospital: Celebrating Quality Care/13

Grateful Patient Comment G South: The best part of my stay was the staff. Never once during my stay did I ever feel forgotten about. Thank you again to your staff. From left to right: Ashley Morann, RN, BSN; Tina Tardiff, RN, BSN; Toby Capitanio; Michelle Curry, RN; Sheila Johnson, RN; Clara Bryan and Operations Manager Dawn Lantiere, RN, BSN 14/Annual Report 2013 Bristol Hospital: Celebrating Quality Care/15

Grateful Patient Comment Environmental Services: The people who cleaned my room were very nice and always wanted to know when I would be better. Thank you. From left to right: Deborah Bonola, Adriana Cardoso; Director of Environmental Services Gary Gimpl, Carmen Bond, Mirjana Xhimitiku and Edmond Xhimitiku 16/Annual Report 2013 Bristol Hospital: Celebrating Quality Care/17

Grateful Patient Comment Cancer Care Center: Thank you all for taking such GREAT care of my sister. You are all blessed. From left to right: Theresa Stross, BSN, RN; Candace Willig, BSN, RN; Patricia Coviello, BSN, RN, OCD; Driola Brahaj, MD; and Sapna Khupchandani, MD, MPH 18/Annual Report 2013 Bristol Hospital: Celebrating Quality Care/19

Grateful Patient Comment Food and Nutrition Services: The servers went out of their way to be pleasant; even going back to the kitchen when I forgot to order something for my meal. Excellent service. From left to right: Rebecca Polzella, Lauren LeHouillier, John Tichon, Amber Plourde; Director of Food and Nutrition Services Darius Erami, Todd Parker, Tricia Erickson, MS, RD, CD-N; Kathleen Chambers and Mark Heacox 20/Annual Report 2013 Bristol Hospital: Celebrating Quality Care/21

Grateful Patient Comment F South: I had a very good experience when staying at the hospital, with very caring treatment. From left to right: Lynn Anderson, RN; Chris Buono, RN; Nicole Pires, RN, BSN; Fawn Pluff, Smita Goulet, RN, BSN; and Operations Manager Jeannie Robbins, RN, BSN 22/Annual Report 2013 Bristol Hospital: Celebrating Quality Care/23

From left to right: Director of Rehab Services Elizabeth Warner, PT; Kevin Jacobs, DPT; Andrea Pittinger, Linda Panikowski, OTR/L,CHT; Jennifer Carbone, MSPT; Christina Curry and Julie Peinhardt, MSPT Grateful Patient Comment Rehab Dynamics: The staff was so friendly and easy to work with I would go back if I ever need therapy again. 24/Annual Report 2013 Bristol Hospital: Celebrating Quality Care/25

Executive Leadership Group From left to right: George Eighmy, CPA, FHFMA, vice president of finance and chief financial officer; Eva Wickwire, assistant vice president and chief development officer; David Rackliffe, BA, MBA, assistant vice president, information services; Susan Sylvestre, FACHE, assistant vice president, professional practices; Kurt A. Barwis, FACHE, president and chief executive officer; Jeanine F. Reckdenwald, SPHR, vice president, human resources and support services; Linda Urbanski, PhD, administrator, Ingraham Manor; Leonard Banco, MD, senior vice president, chief medical officer; and Sheila Kempf, RN, PhD, senior vice president, patient care services and chief nursing officer 26/Annual Report 2013 Bristol Hospital: Celebrating Quality Care/27

Committees EXECUTIVE COMMITTEE - BHHCG Marie O Brien (Chairman of Committee) Kurt A. Barwis Mark Blum Glenn Heiser John J. Leone, Jr. John Lodovico, Jr. Kenneth Rhee, MD AUDIT & COMPLIANCE COMMITTEE - BHHCG John J. Leone, Jr. (Interim Chairman of Committee) Mark Blum Diane Bouffard George Eighmy Glenn Klocko Marie O Brien FINANCE COMMITTEE - BHHCG Mark Blum (Chairman of Committee) Douglas Devnew (Vice Chairman of Committee) Kurt A. Barwis William Brownstein, MD George Eighmy Glenn Heiser Claudia McCann Mike Nicastro Marie O Brien Thomas P. O Brien 28/Annual Report 2013 INVESTMENT COMMITTEE BHHCG (Subcommittee of Finance Committee) Glenn Heiser (Chairman of Committee) Thomas O. Barnes, Jr. (Vice Chairman of Committee) Michael V. Adams Kurt A. Barwis Douglas Devnew George Eighmy John J. Leone, Jr. Marie O Brien Thomas P. O Brien Kenneth Sheptoff GOVERNANCE COMMITTEE - BHHCG Thomas O. Barnes (Chairman of Committee) Mark Blum (Vice Chairman of Committee) Kurt A. Barwis John J. Leone, Jr. Marie O Brien Kenneth Rhee, MD Eva Wickwire QUALITY IMPROVEMENT COMMITTEE - BRISTOL HOSPITAL, INC. John Lodovico, Jr. (Chairman of Committee) Mary Ann Cordeau, PhD Vice Chairman of Committee) Sharon Adler, MD Leonard Banco, MD Kurt A. Barwis Diane Bouffard Teresa Bukowski Karen Cornell Mitchel Katz, MD Fawad Kazi, MD Sheila Kempf, PhD John J. Leone, Jr. Lexie Mangum Craig Mittleman, MD Kenneth Rhee, MD Glen Rosenfeld, MD James Sayre, MD Bala Shanmugam, MD Valerie Vitale, MD Richard Zweig, MD EXECUTIVE COMPENSATION COMMITTEE - BHHCG Mark Blum (Chairman of Committee) Kenneth Benoit, MD Nancy Brault Lisa Casey Kimberly Hostetler Karen Keene Marie O Brien MEDICAL STAFF DEVELOPMENT COMMITTEE BHHCG Michael V. Adams (Chairman of Committee) Kenneth Benoit, MD (Co-Vice Chairman of Committee) Rick Abbott Rainer Bagdasarian, MD Leonard Banco, MD Kurt A. Barwis Nancy Brault (Co-Vice Chairman of Committee) Yong-Sung Chyun, MD George Eighmy John Frazier, MD Sheila Kempf, PhD Christopher Leary, MD John J. Leone, Jr. Suzanne Miller, MD Marie O Brien Kenneth Rhee, MD Susan Sylvestre STRATEGIC PLANNING COMMITTEE - BHHCG AD-HOC COMMITTEE NOT REQUIRED BY BYLAWS Michael V. Adams (Chairman of Committee) Leonard Banco, MD Thomas O. Barnes Kurt A. Barwis Kenneth Benoit, MD George Eighmy Sheila Kempf, RN, PhD John J. Leone, Jr. Marie O Brien Jeanine F. Reckdenwald Kenneth Rhee, MD PARTNERSHIP COMMITTEE - BHHCG AD-HOC COMMITTEE NOT REQUIRED BY BYLAWS Marie O Brien (Chairman of Committee) Leonard Banco, MD Thomas O. Barnes Kurt A. Barwis Kenneth Benoit, MD George Eighmy Glenn Heiser Sheila Kempf, RN, PhD John J. Leone, Jr. Jeanine F. Reckdenwald BRISTOL HOSPITAL MULTI- SPECIALTY GROUP Karen Guadagnini, MD (Chairman) Kurt A. Barwis Joseph Cherneskie, MD Paulo Correa, MD Douglas Devnew Vijay Joshi, MD Sapna Khubchandani, MD John Lodovico, Jr. Marie O Brien 2013 Highlights Bristol Hospital was a title sponsor of the 11th Annual Shamrock Run that took place March 23 at Chippens Hill Middle School in Bristol. The event raises funds for the Saint Vincent DePaul Society shelter in Bristol. Dozens of employees from Bristol Hospital and the Bristol Hospital Multi-Specialty Group took part in the run including (from left): Martin Canillas, MD; President and CEO Kurt A. Barwis, FACHE; and Carlos Encisco-Chaves, MD. The Bristol Hospital Development Foundation s 15th Annual Festival of Wines and Spirits took place March 23 at the ESPN North Campus and raised more than $50,000. Approximately 230 guests attended the event which featured dozens of domestic and imported wines, beers and spirits for guests to sample. The event was co-chaired by Christopher Leary, MD and John Walker, MD, of Radiologic Associates, PC, the presenting sponsor of the event. In attendance at the event included (from left): Kurt A. Barwis, FACHE, president and CEO; ESPN SportsCenter anchor Max Bretos; Eva Wickwire, assistant vice president and chief development officer and from Radiologic Associates, PC, event co-chair, Christopher Leary, MD. everyday extraordinary Bristol Hospital: Celebrating Quality Care/29

2013 Highlights Bristol Hospital was named the third safest hospital in Connecticut according to Consumer Reports magazine. Bristol Hospital s third place safety ranking appeared in the May 2013 issue of Consumer Reports, and is based on a composite score that was calculated by a hospital s performance in five key safety measures including readmissions after discharge; complications; clear communications in such areas as drugs and discharge planning; overuse of CT scans; and infections. Bristol Hospital and Health Care Group Inc, was the recipient of a generous $75,000 grant that was awarded by the Connecticut Health and Educational Facilities Authority (CHEFA). The CHEFA grant was used to upgrade and renovate the hospital s current behavioral health area. This includes providing a more efficient patient experience from assessment and triage in the Emergency Center to treatment in the Inpatient Behavioral Health Unit. The renovations include upgrading the current crisis area in the Emergency Center for patients with mental illness and substance abuse/ dependence as well as numerous renovations in the hospital s Inpatient Behavioral Health Unit. In attendance at the check presentation included Bristol Hospital staff (from left): Josephine Soucy, RN, MSN, CCRN, NE-BC, director of clinical operations, Emergency Center; Karen Eisenhauer, RN, MSN, director of behavioral health services; Diane Bernier, MSN, RN-BC, operations manager, mental health services; and from CHEFA: Jeffrey Asher, executive director; and David Wasch, government programs specialist. John Tichon of Food and Nutrition Services was named the 2013 Employee of the Year for Bristol Hospital and Health Care Group, Inc. Tichon was presented with the award at the hospital s annual Employee Services Award Dinner by President and CEO Kurt A. Barwis, FACHE. This year s Nightingale Award for Excellence in Nursing recipients from Bristol Hospital included (from left): Barbara O Neill, RN, BS, MEd, operations manager for the Emergency Center; staff nurse Patricia Kenney, RN, BSN, CPAN; and staff nurse Susan Ferreira, RN. In collaboration with the Connecticut Hospital Association, Bristol Hospital and Health Care Group, Inc. began a journey to establishing a High Reliability Organization. High Reliability is a culture and methodology that radically reduces systems failures and catastrophic events. As part of the journey, all Bristol Hospital employees are required to attend the Safety Starts With Me presentation. The presentation helps employees gain an understanding of the hospital s safety initiative and the principals of human error prevention. Safety Starts with Me provides employees with information and tools that include four safety habits for error prevention with an explanation of how they are used in the hospital setting. Shown teaching one of the classes are Lynne Ramer, RN, MSN, CNOR, director of clinical operations for Perioperative Services, and George Eighmy, CPA, FHFMA, vice president of finance and chief financial officer. everyday extraordinary 30/Annual Report 2013 Bristol Hospital: Celebrating Quality Care/31

2013 Highlights The seventh annual Rally for the Cure golf tournament took place Sept. 7 at the Chippanee Country Club in Bristol. The event included approximately 80 golfers and raised $7,100 for Bristol Hospital s Beekley Center for Breast Health and Wellness. Shown at the check presentation included (from left): Eva Wickwire, assistant vice president and chief development officer, Bristol Hospital Development Foundation; and Rally for the Cure co-chairs: Joyce Tomasetti, Kathy Norton and Nancy St.Pierre. The 18th Annual Bristol Hospital Development Foundation Golf Classic which took place June 10 at the Golf Club of Avon raised more than $75,000 for Bristol Hospital. The funds will support numerous programs at the hospital. Since it began, the Bristol Hospital Golf Classic has raised more than $1.3 million for the hospital and this year s tournament featured approximately 172 golfers. In attendance at the tournament included (from left): Brian Dehm, Tracy-Driscoll Insurance and Financial Services and golf committee chairman; Eva Wickwire, assistant vice president and chief development officer; Michael Rigg, Esq, O Brien, Tanski & Young; Kurt A. Barwis, FACHE, president and CEO, and Jim Tanski, Esq, O Brien, Tanski & Young. Bristol Hospital was among a select group of hospitals nationwide recognized by the U.S. Department of Health and Human Services (HHS) for reaching gold, silver, and bronze levels of outreach for organ and tissue donation and registration. Bristol Hospital conducted awareness and registry campaigns to educate staff, patients, visitors, and community members about the critical need for organ, eye, and tissue donors and, by doing so, increased the number of potential donors on the state s donor registry. The hospital earned points for each activity planned between September 2012 and May 2013 and was awarded bronze recognition through the Workplace Partnership for Life Hospital Campaign, a program launched in 2011 by HHS s Health Resources and Services Administration. 32/Annual Report 2013 Joseph Cherneskie, MD a physician of the Bristol Hospital Multi-Specialty Group, Inc received recognition from the National Committee for Quality Assurance (NCQA) and the Patient-Centered Medical Home 2011 (PCMH) program for using evidence-based, patient-centered processes that focus on highly-coordinated care and long-term participative relationships. He was the first physician at Bristol Hospital to receive Level 3 recognition which is the highest PCMH honor. Other medical staff members of the Bristol Hospital Multi- Specialty Group to receive the honor after Dr. Cherneskie included Doris Altherr, MD; Karen Guadagnini, MD; Jonathan Krumeich, MD; Saima Ali Pasha, MD; Brimal B. Patel, MD; Bala Shanmugam, MD; Lynne Whitney, APRN; Li Zhu, MD; and Richard Zweig, MD. The Parent and Child Center at Bristol Hospital 2013 Annual Awards Dinner took place on Sept. 30. The event featured volunteer recognition and service awards, board member recognition and family testimonials. The Child Abuse Prevention Award was given to Linda Rich, MSW, director of the Family Resource Center for the Bristol Public Schools, (center). Shown with Rich are (from left): Mary-Alice Petrucelli-Timek, MS, school readiness grant manager for the Bristol Public Schools, and Kimberly Carmelich, MPA, program manager for the Parent and Child Center. Bristol Hospital s Bariatric Surgery Program received a Level 1 Accreditation by the American College of Surgeons Bariatric Surgery Center Network (ACS BSCN). The accreditation shows that Bristol Hospital has met the essential criteria of a surgery center that is fully capable of supporting a bariatric surgery care program and that its performance meets the requirements by the ACS BSCN Accreditation Program. Bariatric Surgery Centers that are accredited under the ACS BSCN program standards are part of the Metabolic Bariatric Surgery Accreditation Quality Improvement Program administered by the American College of Surgeons. Members of the Bariatric Program include (from left): Kerry Roy, RN, BSN; Makram Gedeon, MD and Tammy Gangloff. everyday extraordinary Bristol Hospital: Celebrating Quality Care/33

2013 Highlights Bristol Hospital Patient Representative Andy Adams was one of the recipients of the Bristol Boys and Girls Club PLUS Award. Adams was honored for her volunteer work in the community with such organizations as Bristol Rising, the Bristol Parking Authority and the American Clock and Watch Museum. Adams has worked at Bristol Hospital since 1987. Staff from Bristol Hospital recently celebrated the accreditation of the Bristol Hospital Sleep Center by the American Academy of Sleep Medicine. The five-year accreditation welcomes the Bristol Hospital Sleep Center into the ranks of the AASM-accredited centers, which provide the highest quality of patient care. The AASM is committed to ensuring that those in the field of sleep medicine provide excellent health care and enhance the awareness of sleep as an important element for health, public safety and quality of life. Since opening in 2011, the Bristol Hospital Sleep Center has served more than 700 patients. Shown at the celebration enjoying cake are (from left): Brimal B. Patel, MD, medical director of the Bristol Hospital Sleep Center; Marvin McMillen, MD, FACS, MACP, the hospital s chairman of surgery, and Stephanie Adkins, RN, MSN, CCRN, operations manager of the intensive care unit, respiratory therapy, and the sleep center. Health Information Management Systems Society (HIMSS) Analytics announced that Bristol Hospital has become the first hospital in the State of Connecticut and the first in the country utilizing the Meditech 6.x platform to be certified as a Stage 7 level organization on the EMR Adoption ModelSM (EMRAM). HIMSS Analytics developed the EMR Adoption Model in 2005 as a methodology for evaluating the progress and impact of electronic medical record (EMR) systems for hospitals in the HIMSS Analytics database. The EMRAM has eight stages, ranging from zero, (a predominantly paper environment), to seven, (a predominantly paperless environment). Tracking their progress in completing these eight stages, hospitals can review the implementation and utilization of information technology applications with the intent of reaching Stage 7, which represents an advanced electronic patient record environment. The annual Bristol Hospital Ball, The Best is Yet to Come, took place Nov. 16 at the Aqua Turf Club in Plantsville. This year s event raised more than $75,000 in net proceeds to help complete vital projects at the hospital. The Presenting Sponsor of the event was Norris McLaughlin & Marcus, PA, Attorneys At Law. The honorary chairmen of this year s ball were Margarita Reyes, MD, of the Center for Geriatric Medicine; orthopedic surgeon David Rubins, MD, FAAOS; and breast surgeon Sai Varanasi, MD, FACS. Shown at the event include: (from left): Kurt A. Barwis, FACHE, president and CEO; Board Chairman Marie O Brien, and David Rubins, MD, FAAOS. Bristol Hospital recently received more than $443,000 in financial incentives by participating in Energize Connecticut energy efficiency programs offered through Connecticut Light & Power and Yankee Gas. These incentives helped offset the cost of a $1.75 million project that included upgrades to the hospital s energy infrastructure, ranging from the installation of energy efficient cooling towers and a heat exchanger to the chilled water return, to the installation of an energy management system to optimize the water chiller plant s operation. Shown at the presentation for the project include (from left); from Bristol Hospital, Jeanine F. Reckdenwald, SPHR, vice president of human resources and support services; George Eighmy, CPA, FHFMA, vice president of finance and chief financial officer; from Connecticut Light & Power, Ron Araujo, manager of conservation and load management; and William C. Mascetti, president, ACG North America, Inc. As part of National Volunteer Week 2013 in April, Bristol Hospital hosted its Adult Volunteer Annual Awards luncheon at Chippanee Country Club. Bristol Hospital has approximately 150 active adult volunteers and 50 junior volunteers who donate about 22,000 hours every year. Thank you to all our generous volunteers! Shown at the luncheon are volunteers (from left): Shirley McMahon, Doris Aldieri, Patsy Lee Gangloff, Marcia Noll, Jeanne Edwards, Alta Lamothe and Laura Lord. everyday extraordinary 34/Annual Report 2013 Bristol Hospital: Celebrating Quality Care/35

Corporators Rick Abbott Christine L. Bourbeau Julius Aboagye Bryan P. Bowerman Eileen H. Adams Jacqueline E. Bracco Michael V. Adams, CPA Tom S. Brackett Cathryn L. Addy, Ph.D. J. Yancey Brame Sharon Adler, MD Nancy Brault Jacques G. Akerley Richard S. Braverman Richard H. Alden, Esq. Amy S. Breakstone, MD Michael J. Aldieri, Jr. Gerard W. Brick Stephen O. Allaire, Esq. William J. Brownstein, MD Linda R. Arbesman Kathleen Buckley Paul H. Arbesman Aline Burns Jeanine B. Audette Kenneth F. Burns Carlos M. Badiola, MD Barbara H. Campbell Rainer W. Bagdasarian, MD William T. Campion, Jr. Leonard I. Banco, MD Mary Pat Caputo Elizabeth A. Barnes Richard O. Carlson Lillian R. Barnes George E. Carpenter Melanie A. Barnes George T. Carpenter Thomas O. Barnes Maureen Carpenter Thomas O. Barnes, Jr. Ralph J. Carpenter, III Wallace Barnes Alexander J. Carros Jean A. Barwis David M. Casey Kurt A. Barwis, FACHE Lisa M. Casey Victor J. Basile Steven C. Casey Scott Bayne Rosemarie A. Cassin Sofia Bayne Patricia J. Checko, Ph.D. Arnold H. Becker, MD Yong-Sung Chyun, MD Ruth S. Becker Armann O. Ciccarelli, MD Kenneth G. Benoit, MD Michael P. Cifone Mary Benoit, RN Bernard A. Clark, III, MD George W. Betts Dennis Cleary, RN, NHA Jarre B. Betts Eileen M. Cleary, RN, NHA Robert J. Bianchi Kenneth Cockayne Victoria R. Biondi, MD Thomas A. Colapietro Judith Blanchet Gary D. Constant, Esq. Mark J. Blum Mary Ann Cordeau, Ph.D., RN Stewart E. Bober, MD Robert B. Cordeau Beverly R. Bobroske Karen A. Cornell, LSCW Nelson A. Bondhus, MD Raymond G. Corsini Elizabeth A. Boukus Wayne A. Cowell Richard Croce George J. Crowley Peter F. D Addario, MD Christopher Dadlez Edward A. D Amato, Jr. Brian K. Dehm Blake Della Bianca Michael DeNegris S. D. Devnew, Jr. Linda D. DiMatteo Anthony W. Distasio, Ph.D. Daniel Diver, MD David Dobrzanski, Ph.D. MD Diane M. Donovan James D. Donovan, Esq. Theodore M. Donovan, Esq. Andre D. Dorval, Esq. John S. Driscoll Christopher J. Duhaime Ronald F. Duhaime James R. Dumont Roland J. Dumont Cheryl Dumont-Smith Thomas G. Dunn Cary M. Dupont Victor C. Eanniello, II, MD Marc D. Edelman George Eighmy John J. Fasolo, Jr. Dennis D. Ferguson, MD Ellen S. Ferrier Vincent Festa, Jr. Anna Ficeto Robert W. Fiondella Robert Fiorito Sandra J. Fiorito Jill Fitzgerald Todd J. Fitzsimons Marguerite P. Fletcher Terry B. Fletcher Barbara A. Fontaine William P. Fontaine Phillip Fowler Gregory J. Fradette, Sr. Barbara H. Franklin Peter D. Freytag Lorraine B. Friedman Marvin Friedman Arthur P. Funk, Jr. Timothy W. Furey, Esq. Valerie C. Furey Donna Galluzzo, Ph.D., RD Frank Galluzzo Marilyn Gawitt Rita L. Gerzanick Gary Gibson Keith Gibson Mark A. Gibson Richard D. Gilland, Esq. Gary Gimpl Charles R. Glendon Bernard F. Grabowski, Esq. Harland S. Graime, Ph.D. Roger G. Grandbois Ronald S. Green, MD Phyllis D. Guida Robert W. Gundersen William A. Hamzy, Esq. R. Christopher Hartley Margaret M. Hayes, Esq. Glenn Heiser John E. Hines Kimberley K. Hostetler Kate F. Houlihan Elbert J. Huckaby Katherine Ill, MD Peter G. Imperator James J. Jannetty Gerald O. Jensen, MD William R. Johnson Rita A. Joy Helen S. Kalinowski Jack H. Katz, MD Stephen J. Kaye, MD Rev. Earl W. Keirstead Sheila A. Kempf, RN, Ph.D. Brendan Kennedy Raquel Kennedy Thomas D. Kennedy, III Leslie S. Kish, MD Sally A. Kish Glenn Klocko Susan D. Kozikowski Kenneth I. Krasner, MD Edward C. Krawiecki, Jr., Esq. Sharon Krawiecki Jonathan T. Krumeich, MD David Kushlan Ercole J. Labadia Pamela J. Labadia Dolores Lanosa Chris LaPlaca Thomas LaPorte Steven E. Lasewicz, Jr. Wendy M. Latshaw, MD Deborah Laviero Morris Laviero Patricia E. Laviero Dolores R. Lebert John J. Leone, Jr. Sandra M. Leone John A. Letizia Lawrence P. Levine, MD Kimberly Lewis Stephen L. Lewis John A. Lodovico, Jr. Peter Longo Edward P. Lorenson Laura L. Lorenson Dixie L. Losey Carlo Luciano, MPH V. E. Lyons, Jr., Ph.D. Elizabeth MacDonald-Nadeau Elmer W. Madsen Amanda M. Malkowski Mark T. Malkowski Lexie Mangum Linda Mannarino Nachiyappan Manoharan, MD Larry M. Marcus, MD Stephan M. Masotti Anthony M. Mattioli Margaret D. Maynard Claudia McCann Edward T. McPhee, Jr. Fredrick Mensel Michelle Mensel David Merchant Jacqueline Merchant Carol M. Messier Robert L. Messier, Jr. David Mills Robert A. Mola Thomas Monahan Thomas H. Morrow Timothy Murawski Neil F. Murphy, Jr., Esq. Judy M. Murrone Irene D. Nadeau Patrick R. Nelligan Frank N. Nicastro, Sr. Michael D. Nicastro Anne Noble, Esq. Carolyn Norton Marie V. O Brien Richard A. O Brien Thomas P. O Brien Joseph R. Ofosu, PharmD Eric Osanitsch Donna Osuch Timi A. Paccioretti Charles H. Padget, MD Wanita A. Parent David Pasqualicchio Michael Pasqualicchio Mark Peterson William A. Petit, Sr. Karen W. Poole, Esq. Jon M. Pose James R. Potter Mary-Etta Potter David J. Preleski, Esq. Louise Provenzano Ann B. Pryor James J. Pryor Michael S. Ptaszynski, MD David M. Rackliffe Doreen A. Rackliffe, PA-C Jerald A. Rafaniello Thomas J. Ragaini Jeanine F. Reckdenwald Kenneth K. Rhee, MD Kathryn V. Ricci Janet M. Riemer Michael S. Rivers Lisa Roberge Leonard I. Roberts Joseph J. Robles, MD Cheryl K. Rogers Jon Rondeau Robert V. Rose, RN Jonathan H. Rosen, MD Stuart E. Rosenberg Patricia A. Saccu Richard P. Saporito, D.C. James T. Sayre, MD Susan Scarritt Theodore C. Scheidel Henry Scherer, Jr. Daniel J. Scoppetta, MD Jeffrey K. Scott Chester Scoville, Jr. Cynthia A. Scoville Susan Scully Richard M. Seguljic, Esq. Mark Sekorski Carl R. Sellberg Robert N. Sener* Kimberly A. Sgro Richard O. Sgro Sharon Shafran Sidney Shafran, O.D. Douglas P. Shea Kenneth Sheptoff Sandra R. Silver E. Lee Sinkwich Edward C. Smith John E. Smith Therese E. Snow Jane Snowdon Jeffrey Sonenstein Kathi Sorey Donald R. Soucy Perry J. Spinelli Jane B. Stanke Elizabeth D. Stevenson William T. Stortz Philip A. Streifer, Ph.D. Mary Suchopar Michael Suchopar Susan E. Sylvestre Ann W. Tracy James Truscio George E. Tuttle Darlene Tynan Linda A. Urbanski, Ph.D. Carmelita E. Valerio Peter F. Valerio Jean-Pierre van Rooy Martin Van Walsum Thomas Verdone, MD Valerie J. Vitale, MD Salvatore V. Vitrano, Esq. John M. Walker, MD Arthur J. Ward Michael J. Wasta, Ph.D. Gary Weed Katherine B. Weed P. E. Weed Jason Welch Derek T. Werner, Esq. Michael L. Werner Edward Wesley Linda A. Wesley Michael L. Whaley, MD Eva Wickwire Edward Wilensky Robert J. Williamson, MD Peter J. Wojtusik Philip J. Wojtusik, Jr. Christopher A. Wright Jean K. Young, RN Kathleen K. Zabel Mark Zammett Susan Zaremba Edward J. Zebrowski, MD Joseph H. Zerbey, IV Christopher Ziogas James Ziogas, Jr., Esq. Ellen A. Zoppo Richard M. Zweig, MD 36/Annual Report 2013 * deceased Bristol Hospital: Celebrating Quality Care/37

Medical Staff Allergy Bruce S. Englander, MD* Anesthesiology Rajendra K. Bobba, MD Nazmul Chowdhury, MD Jessica Dowling, CRNA Marzena D Occhio, CRNA Victor Eanniello, MD Sheldon B. Gomes, MD Yair Grinberg, MD Fergus Lane, MD* Keith Lipsitz, MD Sukhpal S Mangat, MD Camille McNicholas, CRNA Maria M. Messina, MD Shirine N. Niemann, MD Cherian S. Oommen, MD Brian P. Reilly, MD Glen Rosenfeld, MD Joseph Scaniffe, MD S.A. Shattuck, CRNA Trevor Sutton, MD Shue W. Wong, MD* Jolanda Zickman, MD Bariatric Surgery Makram M. Gedeon, MD Sampath Subramaniam, MD Cardiology Robert DeBiase, MD Oliver B Diaz, MD Daniel J. Diver, MD John Frazier, MD Fawad A. Kazi, MD Joseph E. Marakovits, MD Paul L. Mastropolo, MD Michael L. Whaley, MD Colon/Rectal Amanda Ayers, MD Saumitra Banerjee, MD Steven H. Brown, MD David A. Cherry, MD Christina Czyrko, MD Makram M. Gedeon, MD Paul Joyner, MD Christina Maria Mirth, MD William P. Pennoyer, MD Sampath Subramaniam, MD David Walters, MD Dermatology Tanya Ave Lallemant, MD Glenn Gart, MD Leonard Selsky, MD* Diagnostic Imaging Carlos Badiola, MD Stewart Bober, MD Allen A. Currier, MD Dennis D. Ferguson, MD David E. Kaye, MD* Christopher Leary, MD Lawrence Rappaport, MD* Folco Scappaticci, MD John Walker, MD Emergency Medicine Darin Adair, PA-C Aaron Adler, PA-C Michael G. Cetta, MD Matthew Champeau, PA-C Justin D. Cheesman, MD Robin Cunningham, APRN Perry Dansky, MD James E. Detrick, PA-C Angelo L. Falcone, MD Scott Freedman, MD Brett A. Gamma, MD Kevin M. Gentile, DO Kawal Hanjan, PA-C Deborah K. Heimbach, APRN LIsa S. Hockman, APRN Jesse J. Irwin, MD Vipul M. Kella, MD Noah L. Keller, DO Ishrat Khatri, MD David N. Klein, MD Jason Kurtzman, MD Andrew Lim, MD Leslie Madore, PA-C James P. McQuiston, MD Scot A. Millay, MD Craig B. Mittleman, MD Dean Moore, MD Robert E. Murray, MD Paul Neagle, PA-C Orlee I. Panitch, MD Matthew Razon, PA-C Maranda W. Reed, MD Robert E. Ryan, PA-C Jennifer Sanders, MD Lisa E. Shakun, PA-C Matthew K. Smith, MD Aaron M. Snyder, MD Paul W. Sokoloski, MD Jeremy Tucker, DO Derek S. Wolfe, PA-C Endocrinology Yong-Sung Chyun, MD David Domenichini, MD Vijay Joshi, MD Family Medicine Lea M. Bailey, MD Martin R. Canillas, MD Conrad D. Collins, MD Jeffrey R. Goldberg, MD Michael Liftman, MD Vijai B. Muthukrishnan, MD Brimal B. Patel, MD Jonathan Rosen, MD Andrew H. Selinger, MD Li Zhu, MD Gastroenterology Peter E. Bloom, Jr., MD Brenna Earle, APRN Ron Green, MD* Kenneth I. Krasner, MD Skye Smith, APRN Salam Zakko, MD General Surgery Richard Ahrens, PA-C Amanda Ayers, MD Ara D. Bagdasarian, MD Rainer, Bagdasarian, MD Saumitra Banerjee, MD Kenneth G. Benoit, MD * Leonardo Beup, MD Steven H. Brown, MD Cathy Chasse, RNFA David A. Cherry, MD Allan Czellecz, RNFA Christina Czyrko, MD Makram M. Gedeon, MD Abigail Hidalgo, PA-C Shelly-Ann B. Kelly, PA-C Leslie Madore, PA-C Marvin McMillen, MD Catherine, Milne, APRN Maria Christina Mirth, MD William P. Pennoyer, MD John Ryng, PA-C Sarah E. Sandberg (Grose), PA-C James Sayre, MD Daniel J. Scoppetta, MD Sampath Subramaniam, MD Ly Tran, PA-C Sai Varanasi, MD David Walters, MD Robert J. Williamson, MD* Hematology/Oncology Driola Brahaj, MD Sapna Khubchandani, MD Christopher Wakem, MD Infectious Diseases Bala Shanmugam, MD Richard Zweig, MD Inpatient Medicine/ Hospitalists Radhika Adiraju, MD Yaw A. Adjepong, MD Lisa M. Alexander, APRN John Frazier, MD Paul G. Harvill, MD Haseeb S. Hashmi, MD Rhianon Iassogna, APRN Carlo C. McCalla, MD Derek T. Nguyen, MD Komas Patel, MD Mahesh Patel, MD Harold E. Phillips, Jr., MD Nauman Piracha, MD Julie Sacharko, APRN Abhinav K. Tiwary, MD Shailendra Upadhyay, MD Jitesh K. Vachhani, MD Carol A. Whelan, APRN Internal Medicine Jack Adler, MD Doris Altherr, MD Kevin M. Baran, MD Nadeem Behjet, MD Renee M. Berry, DO Nelson Bondhus, MD Stephen P. Caminiti, MD Joseph Cherneskie, MD Yong-Sung Chyun, MD Karen Guadagnini, MD Richard Guerriere, MD Stephen Kaye, MD* Jonathan Krumeich, MD Charles J. Licata, DO Gary Miller, MD Vittorio Mirabelli, MD* Aiste Norberg, MD Saima Pasha, MD Jessica Perreault, PA-C Sayedur Rahman, MD Ma. Margarita Reyes, MD Antonio Scappaticci, MD Bala Shanmugam, MD Surendran Varma, MD Jodi Walsh, PA-C Phil Watsky, MD Lynne M. Whitney, APRN Stephen E. Zebrowski, MD Richard Zweig, MD Nephrology Sanjay Fernando, MD Adam M. Goldstein, MD Charles Graeber, MD Susan Halley, MD Robert Lapkin, MD Neurology Marc Kawalick, MD Alexander Komm, MD Andre Lerer, MD Philip A. Micalizzi, MD Timothy C. Parsons, MD Barry Spass, MD Neurosurgery Hilary C. Onyiuke, MD Obstetrics/Gynecology Sharon Adler, MD Victoria Biondi, MD Amy Breakstone, MD Molly A. Brewer, MD Jayne Cluett, MD Kimberly Drakes, CNM Angela S. Kueck, MD Wendy Latshaw, MD Giulia Lau, DO Carmelina Luongo, MD Suzanne Miller, MD Judy Morris, CNM Michelle Plyler, CNM Kenneth Rhee, MD Minu Rowther, MD Thomas Rutherford, MD Candice E. Shea, MD Kamakshi Vemareddy, MD David Zomick, MD* Occupational Health Geoffrey P. Robinson, PA-C Pavel Straznicky, MD Russell Tuverson, MD Ophthalmology Ronald C. Bezahler, MD Steven Hunter, MD Robert J. Ouellette, Jr., MD Charles R. Robinson, MD Farid F. Shafik, MD Oral Surgery James Affenito, DMD Ronald Herriott, DMD* William Lucey, DDS* Orthopedic Surgery Jeffrey Bash, MD Carl D. Bomar, MD * Leigh Brezenoff, MD Michael Cucka, MD Kristen Darson, PA-C Mariam Hakim-Zargar, MD Michael LeGeyt, MD Steven R. McCoy, MD Timothy P. McLaughlin, MD Vincent Miccoli, PA-C Scott Organ, MD Anthony S. Parisi, MD* George H. Rubin, MD David A. Rubins, MD Lisa Shakun, PA-C Lane Spero, MD Carol B. Stumbras, PA-C Kimberly A. Sweezy, PA-CD Douglas Wisch, MD Otolaryngology Abdel Allam, MD* Zeeshan Aziz, MD Valerie J. Vitale, MD Pain Management Arpad S. Fejos, MD Tammy Gaines, PA-C Eric D. Grahling, MD Jonathan Kost, MD Annette K. Macannuco- Winslow, MD Pathology & Clinical Services Nasima Banerjee, MD Matthew Curran, MD Farida Jilani, MD Leslie Kish, MD* Bela Mandavilli, MD Michele Normandin, MD Pediatrics Leonard Banco, MD Allyson Bloom, PA-C William J. Brownstein, MD James R. Carson, Jr., MD Carolyn A. Clark, MD Sachin Dhingra, MD Jacques E. Etienne, MD/PhD Herbert L. Glass, MD * Delbert Hodder, MD * Bryan R. Holland, MD Gerald O. Jensen, MD * Mitchel Katz, MD Edward Kavle, MD Hertzler A. E. Knox, MD Tiffany D. LaBella, MD Ruth Loomis, MD Swathanthra K. Melekote, MD Ranjit Pandit, MD Tarulata, Parikh, MD Julie Schiff, MD Donna Urbinati, APRN Thomas G. Ward, Physical Medicine Steven Beck, MD William Pesce, DO Mark Watson, MD Plastic Surgery Armann O. Ciccarelli, MD Podiatry Paul F. Dobies, DPM Richard E. Ehle, DPM David Mullen, DPM Charles W. Scott, DPM Jeffrey M. Tencer, DPM George Zuk, DPM Psychiatry Kenneth F. Bean, MD* Carlos Enciso-Chaves, MD Nachiyappan Manoharan, MD Federick Reindel, MD Kimberly K. Saucier, APRN Jeffrey Shelton, MD Susanne Wargo, APRN Psychology Deborah Rosenberg, PhD Pulmonary Medicine Nelson Bondhus, MD Stephen P. Caminiti, MD Michael Ptaszynski, MD* Tejal Shah, MD Shweta Upadhyay, MD Radiation Oncology Jeffrey Bitterman, MD Douglas M. Housman, MD Joseph Ravalese, MD Bernard Percarpio, MD* Rheumatology Christopher K. Manning, MD Sleep Medicine Toshita Kumar, MD Brimal B. Patel, MD Sports Medicine Martin R. Canillas, MD Teleradiology Anajli Agrawal, MD Manohar Aribandi, MD Carl J. Aschkenasi, MD Bharath K. Chinta, MD John Crouch, MD Stephen B. Eigles, MD Frank Fayz, MD Matthew A. Fox, MD Arjun Kalyanpur, MD Sanjay V. Kamath, MD Arati Khanna, MD Meenakshi Pandit, MD Thoracic Surgery James Sayre, MD Daniel J. Scoppetta, MD Urology Corlis L. Archer-Goode, MD Robert Ave Lallemant, MD Paul Ceplenski, MD Raphael Cooper, MD Peter D Addario, MD Ryan Dorin, MD Michael A. Fischman, MD Joshua A. Stein, MD Vascular Surgery Rainier Bagdasarian, MD James Sayre, MD Daniel J. Scoppetta, MD *EMERITUS MEDICAL STAFF 38/Annual Report 2013 Bristol Hospital: Celebrating Quality Care/39

Development Foundation Board of Directors From left to right: George Eighmy, CPA, FHFMA, vice president of finance and chief financial officer; Wendy Latshaw, MD, John J. Leone, Jr., Timothy W. Furey, Esq., Cheryl Dumont-Smith, vice chairman; John E. Smith, chairman; Mayor Art Ward, Marie O Brien, Mark Blum; Les Kish, MD, Thomas O. Barnes, Brian Dehm, Eva Wickwire, assistant vice president and chief development officer; Rep. Whit Betts and Kurt A. Barwis, FACHE, president and CEO Missing: Michael V. Adams, Nancy Brault, Ralph Carpenter, Terry Fletcher, Arthur P. Funk, Jr., Glenn Heiser, James Jannetty, Morris Laviero, James Pryor, Kenneth Sheptoff and Christopher Ziogas 40/Annual Report 2013 Bristol Hospital: Celebrating Quality Care/41

Leadership Stephanie Adkins, RN, MSN, CCRN Operations Manager, ICU, Respiratory Therapy and Sleep Center Leonard Banco, MD Senior Vice President, Chief Medical Officer Janet Barrette Director, Employee Benefits/Pension/ HRIS Kurt A. Barwis, FACHE President/CEO Diane Bernier, MSN, RN-BC Operations Manager, Mental Health Services Diane Bouffard, RN, BSN, MHA, CPHA, LSSBB Director, Quality Improvement Christopher Boyle Director, Public Relations & Marketing Teresa Bukowski, RN, BSN Director, Medical Management Ann Burch, RN, MA Director, Clinical Operations, Home Care & Hospice, Center for Diabetes, Medworks, Occupational Health & Parent & Child Center Steve Burke, RPh Director, Pharmacy Kimberly Carmelich, MPA Program Director, Parent & Child Center Judy Cesarski, TRD Director, Therapeutic Recreation, Ingraham Manor Caren Chalfant, RN BSN, CHPN Clinical Operations Manager, Home Care Mary Ann Cirone, RN, MS Operations Manager, Cancer Care Center 42/Annual Report 2013 Karen Cornell, LCSW Director, Patient & Customer Relations/ Volunteer Services, Communications Charles Cosgriff Director, Managed Care Contracting Melissa A. Dickau, RD, CLC WIC Program Director George Eighmy, CPA, FHFMA Vice President of Finance & Chief Financial Officer Karen Eisenhauer, MSN, RN Director of Behavioral Health Services Darius Erami Director, Food & Nutrition Services Tricia Erickson, MS, RD, CD-N Manager, Clinical Nutrition Kimberly Ganslaw, CPA Director of Finance, BHMSG Gary Gimpl Director, Environmental Services Linda Hall, CST Operations Manager, Central Sterile Supply Department Warren Hamilton Director of Accounting Kevin Havee Manager, Biomedical Engineering and Security Christine Hedden Director, Human Resources Mary Ann Johnsen, RN Night Nursing Supervisor Sheila Kempf, RN, PhD Senior Vice President, Patient Care Services & Chief Nursing Officer Dawn Lantiere, RN, BSN Operations Manager, Level G Albert Lamptey, RT, (R), (CT) Operations Manager, Diagnostic Services Jill Lombardi, RN, BSN, MS Operations Manager, Families Are First Debra Manfredi Director, Budgeting & Decision Support Tracy Marenna IT Site Manager Chris Ann Meaney, DNP, MHA, NEA-BC Director of Inpatient Services Barbara O Neill, RN, BS, MEd Operations Manager, ECC Jason Perillo, AEMT, MBA, MPA, CPA Director, Operations, EMS Dennis Perrone Director of Orthopedic Services David Rackliffe, BA, MBA Assistant Vice President, Information Services Lynne Ramer, RN, MSN, CNOR Director, Clinical Operations, Periop Services Jeanine F. Reckdenwald, SPHR Vice President, Human Resources & Support Services Jeannie Robbins, RN, BSN Operations Manager, Level F Korrine Roth, MSN, RN-BC, NEA-BC, CPHQ, FACHE Director of Clinical Excellence & Professional Practice Maria Simmone Director, Revenue Cycle, BH&HCG Josephine Soucy, RN, MSN, CCRN, NE-BC Director of Clinical Operations, Emergency Center Mary Smith, RN, MSN, NE-BC Director of Nursing, Ingraham Manor Paul Smith Director, Engineering & Facilities Susan Sylvestre, FACHE Assistant Vice President, Professional Practices Lisa Theriault Director of Social Services, Ingraham Manor Linda Urbanski, PhD Administrator, Ingraham Manor Kim Ward, RN, BSN, CNOR Operations Manager, Operating Room and PACU Elizabeth Warner, PT Director, Rehab Services Cindy White Assistant to the President Eva Wickwire Assistant Vice President & Chief Development Officer Rebecca Wiesner, CLT, MBA, DLM- ASCP (CM) Director, Diagnostic Imaging & Laboratory Services Margaret Wilson, MPS, ATR Director, Partial Hospital & O/P Behavioral Services Sandra Young, CPMSM, CPCS Director, Medical Staff Services OFFSITE LOCATIONS BRISTOL HOSPITAL 41 Brewster Road, Bristol, CT 06010 Main Number...860.585.3000 Patient Information...860.585.3255 Hearing Impaired...860.585.3833 Bristol Hospital Development Foundation...860.585.3365 BEHAVIORAL HEALTH 860.314.2052 10 North Main Street BRISTOL HOSPITAL BUSINESS OFFICE 860.585.3337 236 Main Street BRISTOL HOSPITAL CENTER FOR DIABETES 860.940.6300 102 North Street BRISTOL HOSPITAL COUNSELING CENTER 860.583.5858 440-C North Main Street BRISTOL HOSPITAL HOME CARE & HOSPICE 860.585.4752 222 Main Street BRISTOL HOSPITAL MULTI-SPECIALTY GROUP, INC. 860.585.3469 240 Main Street BRISTOL RADIOLOGY CENTER 860.584.0541 25 Collins Road BRISTOL HOSPITAL WELLNESS CENTER 860.582.9355 842 Clark Avenue BURLINGTON COMMONS 860.673.3681 304 Spielman Highway Burlington, Conn. FARMINGTON MEDICAL OFFICE 860.284.6801 2 Spring Lane Farmington, Conn. INGRAHAM MANOR SKILLED NURSING 860.584.3400 400 North Main Street MEDHELP URGENT CARE CENTER 860.314.6046 539 Farmington Avenue MEDICAL OFFICE BUILDING 25 Newell Road MEDWORKS OCCUPATIONAL HEALTH 860.589.0114 539 Farmington Avenue PARENT AND CHILD CENTER 860.585.3481 9 Prospect Street PLAINVILLE MEDICAL OFFICE 860.747.8315 7 North Washington Street Plainville, Conn. REHAB DYNAMICS 860.589.3587 975 Farmington Avenue TERRYVILLE MEDICAL CENTER 860.314.6818 27 Main Street Terryville, Conn. WIC 860.585.3280 9 Prospect Street WOLCOTT MEDICAL OFFICE 203.879.1375 509 Wolcott Road Wolcott, Conn. Published by the Public Relations and Marketing Department Bristol Hospital and Health Care Group, Inc. 2013 Annual Report Executive Editor: Eva Wickwire Editor: Christopher Boyle Designer: Maria Mongillo Bednarz Contributors: Bethany Spada Maryanne Violette Photography: Steve Laschever John Atashian Christopher Boyle Bristol Hospital: Celebrating Maria Quality Mongillo Care/43 Bednarz

Thank you! 41 Brewster Road Bristol, CT 06010 860.585.3000 860.585.3833 (hearing impaired) bristolhospital.org 44/Annual Report 2013